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Healthcare’s data isn’t missing. It’s everywhere.
We talk about value-based care like it’s a contracting problem. Get the attribution and quality measures right, and performance follows. But the real work of winning under risk happens inside a 15-minute visit, with a physician rebuilding a patient’s story from records scattered across the EHR, an HIE, a claims feed, a lab portal, a specialist’s PDF three systems over, and a hospitalization nobody told the practice about.
None of that data is missing. It’s just smeared across a dozen disconnected sources with no single source of truth, which makes the clinician the integration layer. They piece the story together by hand, backtracking through tabs while the patient waits.
Think about all of the lost efficiency from this fragmentation. Physicians burn time they don’t have tracking random metrics down. Care gaps slip through because they’re buried in records nobody had time to read. Coding, quality, and care teams each work off their own worklist, generating handoffs and waste. And risk adjustment suffers when documentation doesn’t reflect a patient’s true complexity, which in 2026 is a compliance exposure on top of a revenue one.
This need for clean, consolidated data – used by the physician or clinician at the point of care – is a core piece of missing infrastructure so many provider organizations lack.
The cleanup-crew model is dead
For years, VBC documentation ran on retrospective cleanup: year-end chart chases and coding sweeps, recapturing conditions long after the visit was a distant memory. That model is now…a relic.
V28 is squeezing margins while RADV activity keeps intensifying. ACO REACH and the LEAD Model (launching January 2027) are raising the bar on documentation integrity..